Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 23

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1336383173

IDMT Kerilyn Shigihara

Individual

2504 S Chicago St

Fairchild Afb, WA

1225262454

MR. IDMT Brian Barton

Individual

701 Hospital Loop

92 Mdos/sgop

Fairchild Afb, WA

1750515342

IDMT Meredith Rose Granholm

Individual

701 Hospital Loop

92 Amds/sgpe

Fairchild Afb, WA

1841428109

IDMT Claudio Alejandro Castillo

Individual

2504 S Chicago St

Fairchild Afb, WA

1306074513

MR. IDMT Robert Michael Siebenaler

Individual

2504 S Chicago St

Fairchild Afb, WA

1730317728

MR. IDMT Nicholas James Graham

Individual

2504 S.chicago St

Fairchild Afb, WA

1194953885

MR. IDMT Joseph Brian Noone

Individual

2504 S Chicago St

Fairchild Afb, WA

1285863043

IDMT Wayne Dennis Johnson JR.

Individual

2504 S Chicago St

Fairchild Afb, WA

1679703060

IDMT Paul M Montgomery

Individual

2504 S Chicago St

Fairchild Afb, WA

1477783876

IDMT Gene J Sonnenburg JR.

Individual

2504 S Chicago St

Fairchild Afb, WA

1366672305

IDMT Ryan Alan Foster

Individual

2504 S Chicago St

Fairchild Afb, WA

1245473339

MR. IDMT Joseph David Brownell

Individual

2504 S Chicago St

Fairchild Afb, WA

1386976041

MR. IDMT Samuel David Farris II

Individual

701 Hospital Loop

Fairchild Afb, WA

1427368950

IDMT Ryan Werner

Individual

701 Hospital Loop

Fairchild Afb, WA

1417255860

April Lynn Witt

Individual

701 Hospital Loop

Fairchild Afb, WA

1205108693

IDMT Samantha Crucet

Individual

701 Hospital Loop

Fairchild Afb, WA

1487926879

IDMT Lafe Hernandez

Individual

701 Hospital Loop

Fairchild Afb, WA

1144657156

IDMT Marc Palmones Villano

Individual

701 Hospital Loop Bldg 9000

Fairchild Afb, WA

1801241476

IDMT Nicholas Forster-curnew

Individual

701 Hospital Loop

Fairchild Afb, WA

1184166977

IDMT Nathan James Dillow

Individual

701 Hospital Loop

Fairchild Afb, WA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1003X
Specialization Independent Duty Medical Technicians
Display Name Independent Duty Medical Technicians
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Military Health Care Provider

171000000X • providers: 1,689